Healthcare Provider Details

I. General information

NPI: 1356710016
Provider Name (Legal Business Name): LAUREN E HAMM APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN E. PULASKI

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR ST HARTFORD HOSPITAL CARDIOLOGY
HARTFORD CT
06102-5037
US

IV. Provider business mailing address

80 SEYMOUR ST HARTFORD HOSPITAL CARDIOLOGY DEPT
HARTFORD CT
06102-5037
US

V. Phone/Fax

Practice location:
  • Phone: 860-972-5295
  • Fax:
Mailing address:
  • Phone: 860-972-5295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number006282
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number006282
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: